Organization Active NPI

Renaissance Case Management Services

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1003090473
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
2-55949 Issued in TX
Legal business name
RENAISSANCE CASE MANAGEMENT SERVICES
Practice address
4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313
Phone
(713) 528-2097
Fax
(713) 665-7702
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Graves, RN, BSN, CPT, MT,
Title
Case Manager
Phone
(713) 528-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 2-55949 TX Primary

Addresses

Primary practice location

4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313

Mailing address

4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313
Phone (713) 528-2097

Other identifiers 2

IdentifierTypeStateIssuer
1043494404MedicaidTX
1194857821MedicaidTX

National Provider Directory

National Provider Directory

Locations

4141 Southwest Fwy
Ste 510
Houston, TX 77027
Phone (713) 528-2097

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1003090473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SOUTHWEST FWY",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277313",
            "telephone_number": "713-528-2097",
            "fax_number": "713-665-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SOUTHWEST FWY",
            "address_2": "SUITE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277313",
            "telephone_number": "713-528-2097",
            "fax_number": "713-665-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "713-528-2097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN, CPT, MT,"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "2-55949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043494404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194857821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.